Invoice #1047
Nov 7, 2026, 11:20 AM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Composite filling | 1 | $295.00 | $295.00 |
Total$295.00
Paid$295.00
Patient
Name
Email
chloe.barrett@example.com
Phone
(630) 555-0143
Payment
Status
Paid
Due
Nov 21, 2026
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Nov 7, 2026, 11:20 AM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Composite filling | 1 | $295.00 | $295.00 |